IV push, single drug at 64-0881013 MBMC Jackson. CPT 96374.
What 64-0881013 MBMC Jackson publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$129cash price (self-pay)
$623list price
$90.00–$566range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | OAP PPO | $91.30 |
| VACCN | Veterans Administration | $191 |
| Devoted Health | Medicare | $195 |
| MS BCBS | Medicare | $197 |
| Aetna | Medicare | $201 |
| American Health Plan | Medicare | $201 |
| Cigna | Medicare | $201 |
| Humana | Medicare | $201 |
| Aetna | Commercial | $262 |
| Humana | PPO | $301 |
| Littler | Commercial | $312 |
| First State Bank Trust | Commercial | $325 |
| First Choice Health Plan of MS | Commercial | $330 |
| Armstrong Relocation | Commercial | $344 |
| Ashley Furniture Stores | Commercial | $344 |
| Brimhall Foods | Commercial | $344 |
| Building Plastic | Commercial | $344 |
| Burch Food Services | Commercial | $344 |
| Cannon Motor Company | Commercial | $344 |
| Carlisle | Commercial | $344 |
| Crittenden County | Commercial | $344 |
| Davidson Hospitality | Commercial | $344 |
| Delta Industries | Commercial | $344 |
| DeSoto Co Board of Supervisors | Commercial | $344 |
| Dunn Investment Company | Commercial | $344 |
| First Choice Health Plan of MS | HPN | $344 |
| First Community Bank | Commercial | $344 |
| French Camp Academy | Commercial | $344 |
| Gossett Motor Cars | Commercial | $344 |
| Hattiesburg Clinic | Commercial | $344 |
Inpatient
$129cash price (self-pay)
$623list price
$233–$506range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $237 |
| Magnolia Regional Health Center | Commercial | $249 |
| Aetna | Commercial | $262 |
| Littler | Commercial | $312 |
| Medi Share | Commercial | $312 |
| Molina | Exchange | $312 |
| Multiplan | Complementary Network | $467 |
| Christian Health Aid | Commercial | $498 |
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